SCN5A Variant Q1033P Detail

We estimate the penetrance of LQTS for SCN5A Q1033P around 17% and the Brugada syndrome penetrance around 6%. SCN5A Q1033P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. Q1033P is not present in gnomAD. Q1033P has been functionally characterized in 0 papers. This residue is located in a Non_Hotspot region for Brugada syndrome and a Mild_Hotspot region for LQTS. In silico predictions, functional data (if available), and location in structure are equivalent to phenotyping 10 individuals for Brugada syndrome (0 diagnosed with Brugada syndrome) and 5 individuals for LQTS (0 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A Q1033P around 17% (0/10) and the Brugada syndrome penetrance around 6% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.457 0 22
PROVEAN scores less than -2 are considered deleterious. REVEL scores higher than 0.5 or 0.75 are considered likely pathogenic (higher sensitivity with the former cutoff, higher specificity with the latter cutoff). A PolyPhen-2 score of 0.85 or greater is considered likely pathogenic. BLAST-PSSM reflects the evolutionary conservation of residue substitutions, more negative numbers indicate fewer observations of the specific substitution than is expected. Penetrance Density is our previously published method to calculate the average BrS/LQTS probability density in a shell of residues surrounding a residue of interest (Kroncke et al. 2019).

Reported Carrier Data

PubMed ID Year Carriers Unaffected LQT3 BrS1 Other Other Disease
LITERATURE, COHORT, AND GNOMAD: - 0 0 0 0 -
VARIANT FEATURES ALONE: - 15 15 0 0 - -
Summary totals might not agree with the literature table because of duplicate patients, which were excluded from the total counts. We do not distinguish here between multiple missense codons. Missense variants are combined across degenerate codon substitutions since codon-level data were not consistently available for curation.

Q1033P has 31 previously observed neighbors within 15 angstroms

A residue within a folded protein on average has nearest neighbors that fall roughly into two shells: a "nearest" neighbor around 5-6 angstroms and a second shell around 11 angstroms. All variants shown in the rightmost column have been observed in at least one individual in the literature or gnomAD.

Neighbor Distance (Angstroms) Variants Observed in Individuals
1018 15 K1018E,
1019 14
1020 14
1021 13 P1021S,
1022 13
1023 12 R1023C, R1023H, R1023P,
1024 11 K1024R,
1025 11 E1025A,
1026 10
1027 9 R1027Q, R1027W, R1027P,
1028 8
1029 8 E1029K,
1030 7
1031 5 p.G1031fsX27,
1032 4 E1032D, E1032K,
1033 0 Q1033R,
1034 4 P1034T,
1035 5 G1035V,
1036 7
1037 8
1038 8
1039 9
1040 10 G1040R,
1041 11 D1041N, D1041G,
1042 11
1043 12 E1043K,
1044 13
1045 13 V1045M,
1046 14
1047 14 c.3140_3141dupTG,
1048 15 P1048S, p.P1048SfsX96, c.3142_3143insTG,